Jacob C Flint, PT, DPT
Individual provider Active NPI Physical Therapist · Jefferson, GA
NPI 1003300708 · NPPES record last updated Jun 18, 2018
Key facts
- NPI
- 1003300708
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT013400 (GA)
- Practice address
- 1660 Washington St
Jefferson, GA 30549-2666 - Phone
- (706) 367-1898
- Fax
- (706) 367-1899
- NPI assigned
- Jun 18, 2018
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Atlanta Rehabilitation and Performance Center
Practice addresses (Care Compare)
1640 Jesse Jewell Pkwy SE
Suite 1a
Gainesville, GA 30501-2547
Phone (770) 536-9300
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20181001003497 | GA | Practitioner - Physical Therapist in Private Practice | 8022369081 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peak Rehabilitation, Inc | Current |
Accepting new patients | |
| Atlanta Rehabilitation and Performance Center | Current |
Accepting new patients | |
| Atlanta Rehabilitation and Performance Center | Current |
Accepting new patients | |
| Milestone Pediatric Therapy Services, Inc. | Past | Accepting new patients |
Locations
2151 Homer Rd
Ste 120
Commerce, GA 30529
Phone (706) 708-1588
205 Mercer Pl
Commerce, GA 30529
Phone (706) 335-3816
1660 Washington St
Jefferson, GA 30549
Phone (706) 367-1898
960 Lee St
Ste 205
Jefferson, GA 30549
Phone (706) 708-0001
4220 Mundy Mill Pl
Ste 2B
Oakwood, GA 30566
Phone (678) 450-9933
2400 Wisteria Dr
Ste A
Snellville, GA 30078
Phone (770) 982-0102
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT013400 | GA | Yes |
Addresses
Primary practice location
1660 Washington St
Jefferson, GA 30549-2666
Mailing address
1660 Washington St
Jefferson, GA 30549-2666
Phone (706) 367-1898
Other providers in Jefferson, GA
- Erin Melissa Jones, PC
- Todjide Satorey Evans
- Cynthia Ferrante
- Meagan Flenniken
- Flint Health Enhancements, LLC
- Kenneth Lee Flint Jr.
- Cassidy Flynt
- Renah Elizabeth Gallagher
- Briana Nicole Gantt I
- Georgia CVS Pharmacy LLC
All providers in Jefferson, GA · Physical Therapist in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 18, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.